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New York Plastic Surgery

Breast Reduction New York City

Breasts play an important role in balancing a woman’s figure, but when breasts are too large for a woman’s frame, they can cause a great deal of discomfort. Women with large, pendulous breasts often suffer from chronic neck pain and skin irritation, in addition to reduced self-esteem. Fortunately, women have a permanent surgical solution to take control of these issues: breast reduction surgery.

Breast reduction (technically known as “reduction mammoplasty”) is a surgical procedure that removes excess fat, skin, and glandular tissue from the breasts. Many patients find their breast reduction to be a life-changing procedure, and Dr. David Cangello is inspired by the transformative results this surgery provides for women. Through breast reduction surgery, Dr. Cangello can help restore balance to the figure and eliminate the emotional discomfort from having excessively large breasts.

Considering a breast reduction in NYC?Contact plastic surgeon Dr. David Cangello today at (212) 644-4416 to schedule a personal consultation for reduction mammoplasty.

Hear from Dr. Cangello’s Breast Reduction Patients

“The decision to go forward with my breast reduction wasn’t as difficult as choosing a surgeon, that’s for sure. I knew people who had had the surgery, but in different states, none could recommend a doc in NYC. My PCP and another surgeon recommended Dr. Cangello and immediately when I met him, I felt at ease. He is confident without being cocky and explained the procedure, his technique and addressed all of my questions with patience. He took his time at each of our appointments and marked me for the surgery the day before so that he could take his time with measurements and not feel rushed to get me into the OR the day of. The day of surgery, I felt fully confident that I was in good hands. At each visit in the weeks that followed, I was nervous that I would be in pain as we removed drains, bandages, surgi-strips, etc… but Dr. Cangello is so incredibly gentle and speaks and moves so calmly, there really was no pain.

I had done a lot of research on the internet and saw pictures of other women post-surgery and some looked pretty frightening – my breasts were barely bruised, they looked perfect actually, even the first day after surgery. I’ve had no complications at all, the incisions were beautifully sutured and my breasts actually look like they did 20 years ago, perky and full, no sagginess, perfectly symmetrical and proportionate. AND I did not lose nipple sensation (which I was also very nervous about!) Not only was having the surgery the BEST decision I ever made, so was choosing Dr. Cangello as my surgeon.”

Ideal Candidates for a Breast Reduction in NYC

Ideal candidates for a breast reduction in NYC include healthy women who are unhappy with the physical and psychological discomfort caused by large breasts. Breast reduction patients typically exhibit the following:

Uncomfortably large, pendulous breasts

Skin irritation from breasts that rub against the abdomen and from bra straps that dig into the shoulders

Chronic neck pain and back pain

A hunched appearance due to the weight of large breasts

A breast reduction can significantly enhance the quality of life for those with excessively large breasts, whether they miss playing their favorite sports or they simply want to look their best in all types of clothing. Reduction mammoplasty is also available to young women who are at least 16 years old. To see the transformative results of this procedure, view our before-and-after breast reduction photo gallery.

Breast Reduction Consultation: Your Ideal Figure Starts Here

From the moment the consultation begins, patients will understand why so many other women have put their trust into Dr. Cangello’s hands. Deciding to finally undergo a breast reduction isn’t always easy; patients may have spent years living with the emotional and physical discomfort caused by excessively large breasts. For this reason, Dr. Cangello and his staff strive to make the surgical experience a positive one – and it all starts with the initial consultation.

During the consultation for a breast reduction in NYC, Dr. Cangello will address any questions or concerns patients may have about the procedure. He will also conduct a physical examination to assess the breast tissue, level of sagging, the position of the nipples relative to the breast crease, and the quality of the skin. Taking into consideration the patient’s personal anatomy and overall cosmetic goals, Dr. Cangello will provide a custom treatment plan to help the patient attain a more proportionate figure.

Understanding Your Breast Reduction Surgery

The surgical options for reduction mammoplasty will depend on the size of the breasts, the level of sagging, and other factors. Dr. Cangello performs breast reduction in NYC using one of the following methods:

Liposuction-Only Technique

The liposuction-only technique is typically used for women who require removal of only a small to moderate volume of internal tissue. Ideal candidates should have breasts that are not dense and mostly composed of fatty (as opposed to glandular) tissue. Candidates should also have very good skin elasticity and minimal sagging. Because this technique requires very small incisions, the recovery period is much shorter compared to other breast reduction techniques.

Vertical Scar Technique (Also Known as Lollipop Incision)

Women who need a moderate reduction in breast size are good candidates for the lollipop incision method. Since there is no incision made along the breast fold, this technique results in less scarring. One incision will be made around the edge of the areola, and then there will be a second incision going vertically from the areola down to the breast crease (in the shape of a lollipop).

Once the incision is made, excess breast tissue, fat, and skin will be removed. Dr. Cangello will then reshape the internal structures of the breast and lift the breast to a higher position on the chest. This technique creates a well-projected breast because, after the appropriate amount of tissue has been excised, it brings together two vertical pillars of breast tissue to form a cone shape.

This technique involves a significant amount of breast tissue removal and reshaping, so it’s best suited for those who need a substantial reduction in size. It uses an incision that goes around the areola and extends downward in a vertical line along the lower half of the breast to the breast crease. After excising the proper amount of glandular tissue, fat, and skin, the nipple-areolar complex is moved to the proper position on the chest wall above the inframammary fold.

Free Nipple-Graft Technique

This technique completely removes the nipple-areolar complex and then replaces it at the end of the breast reduction surgery as a skin graft. The advantage of this technique is that a significant volume of breast tissue can be removed without concern for the viability of the nipple. Accordingly, this technique is usually reserved for the most severe cases of macromastia.

The disadvantage of this technique is that the patient will not be able to breastfeed, and the nipples will lose sensation. Additionally, there may be a loss of pigmentation of the areolar skin over time.

This type of breast reduction is typically recommended to the following patients:

Women whose breasts are extremely pendulous with nipples that hang well below the breast crease

Women whose health presents a high risk of ischemia of the nipple-areolar complex

Breast Reduction, NYC – FAQs

Where Will My Breast Reduction in NYC Be Performed?

Your breast reduction in NYC will be performed in Dr. Cangello’s on-site, fully accredited operating room. This state-of-the-art surgical facility is equipped with safety and comfort in mind, ensuring an optimal surgical experience for patients. Dr. Cangello also only works with board-certified anesthesiologists to ensure the highest levels of safety. For patients who would prefer to have their breast reduction performed in a hospital, Dr. Cangello also has operating privileges at Manhattan Eye, Ear, and Throat Hospital in NYC.

What Is Recovery Like After a Breast Reduction?

After your reduction mammoplasty, you will wake up with a surgical dressing over your incisions and possibly drains under each arm. You will also be wearing a post-surgical bra or compression garment. Although your breasts may feel tender, swollen or bruised following surgery, you will notice an immediate improvement in terms of their weight and size. Dr. Cangello will prescribe pain medication to make your recovery as comfortable as possible.

All sutures used in the breast reduction will be dissolvable—except for one that is usually removed about two weeks after surgery. If you have drains, they are often removed the day after surgery.

Most patients can return to work within a week. However, strenuous activity will need to be avoided for 4-6 weeks. During the first month after surgery, patients will also be required to wear a highly supportive bra without underwire to facilitate healing. During this time, your breasts may look very firm and flat. But as swelling subsides and your body heals, your breasts will take on a more natural, tear-drop appearance. Some slight swelling may persist for several months after surgery.

Can I Breastfeed After a Breast Reduction?

The ability to breastfeed after reduction mammoplasty varies greatly. This depends on the incision placement, the surgical technique used, and the amount of tissue that was removed. Dr. Cangello will discuss breastfeeding with you during your consultation and may recommend that you postpone reduction mammoplasty until after you’ve had children (if you plan on breastfeeding).

Does Insurance Cover Breast Reduction Surgery?

Insurance often does cover the procedure if certain clinical criteria can be demonstrated to the insurance company and if your plan allows for coverage. Not all insurance plans have breast reduction as a covered benefit. Dr. Cangello is out of network with all insurance plans, so you must have out-of-network benefits to obtain reimbursement for your surgery. Dr. Cangello’s staff would be happy to provide you with the proper information to submit to your insurance company to obtain coverage.

Will My Breast Reduction Cause Scarring?

As with any surgical procedure, there will be scarring. However, Dr. Cangello is meticulous in the way he closes incisions to help your scars blend in seamlessly with your breasts.

Breast reduction surgery typically produces one of two types of scar patterns on the breasts:

“Lollipop” or Circumvertical Scar: There’s a scar around the areola and a scar from the bottom of the areola down to the fold below the breast.

“Anchor” or Wise Pattern Scar: Same as the lollipop scar but with an additional horizontal scar along the length of the fold below the breast.

Can My Nipples Be Moved or Resized During a Breast Reduction?

During breast reduction surgery, your areolas (the pigmented part around the nipple) will be made smaller, and they’ll be moved along with the nipple. They will be repositioned above the breast crease. The nipple size can also be reduced, if requested.

How Long Will My Breast Reduction Results Last?

The results of your breast reduction are essentially permanent. However, it is possible that pregnancy and associated hormonal changes or significant weight gain can cause reaccumulation of breast tissue, which may necessitate another reduction in the future.

Can Men Have Breast Reduction Surgery?

Yes, Dr. Cangello offers male breast reduction surgery for men suffering from gynecomastia (enlarged breasts.) When men only have minimal feminization of the breasts, the reduction usually involves liposuction alone or a combination of liposuction and excision of glandular breast tissue. This is accomplished through a very small incision at the bottom of the areola. For men with more severe gynecomastia, excision of excess skin and repositioning of the nipples may be necessary.